Provider Demographics
NPI:1437431327
Name:DAILEY, RYAN FIELDING (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:RYAN
Middle Name:FIELDING
Last Name:DAILEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25952 LINES LN # B222
Mailing Address - Street 2:
Mailing Address - City:KITTREDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80457-5042
Mailing Address - Country:US
Mailing Address - Phone:770-324-5055
Mailing Address - Fax:
Practice Address - Street 1:25952 LINES LN # B222
Practice Address - Street 2:
Practice Address - City:KITTREDGE
Practice Address - State:CO
Practice Address - Zip Code:80457-5042
Practice Address - Country:US
Practice Address - Phone:770-324-5055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0003055235Z00000X
SCSLP.4945SPIN235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist